Nasalide Warnings and Precautions

Before starting Nasalide, warnings and precautions for the drug should be discussed with your healthcare provider. Nasalide is a steroid that can suppress the immune system and increase your risk for infections. It can also suppress the body's ability to make natural steroids. Nasalide warnings and precautions also include people who are allergic to any components of the medicine or who have an untreated nasal infection.

Nasalide: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking Nasalide® (flunisolide nasal solution) if you have:
 
  • Sores or injury to the inside of your nose
  • A nasal infection
  • Tuberculosis, herpes, or any other infections
  • Not had chickenpox or the measles (and have not been vaccinated against them)
  • Recently had nasal surgery
  • Any allergies, including allergies to food, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
     
Make sure to tell your healthcare provider about all medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 

Specific Nasalide Warnings and Precautions

Some warnings and precautions to be aware of prior to taking Nasalide include the following:
 
  • Nasalide is a steroid and may suppress the immune system. Although this is more likely to occur with oral steroids, it is still possible with nasal steroids such as Nasalide. Taking steroids may put you at a higher risk for infections. Certain infections (such as chickenpox or the measles) may be more dangerous if you are taking Nasalide. Let your healthcare provider know right away if you are exposed to chickenpox or the measles, especially if you have not had these infections and have not been vaccinated against them. In rare cases, Nasalide can lead to yeast infections in the nose and throat as a result of suppressing the immune system.
     
  • It can take as long as two weeks before Nasalide starts working in some people. If your symptoms do not improve within three weeks, you should contact your healthcare provider.
     
  • Nasalide can suppress the body's ability to make natural steroids. Usually, this happens when too much of the drug is taken. In such circumstances, the medication should be stopped slowly to give your body a chance to begin making natural steroids again.
     
  • If you are switching from an oral steroid to Nasalide (which is a nasal steroid), your healthcare provider should slowly decrease your dose of the oral steroid. Stopping an oral steroid too quickly can be dangerous.
     
  • Like all steroids, Nasalide may slow down the growth rate of children and teenagers. Contact your child's healthcare provider if you are concerned about a slow growth rate in your child.
     
  • Before starting Nasalide, be sure to tell your healthcare provider if you currently have any type of infection. Also, let your healthcare provider know if you have ever had tuberculosis or a herpes infection of the eye, as Nasalide may weaken the immune system, allowing these infections to become worse.
     
  • Corticosteroids (such as Nasalide) can delay healing. Therefore, if you have had recent nasal surgery or nasal sores, you should wait until healing has occurred before taking Nasalide. Also, corticosteroids can cause nosebleeds and nasal sores or irritation.
     
  • Nasalide can potentially interact with other medications (see Nasalide Drug Interactions).
     
  • Nasalide is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not currently known (see Nasalide and Pregnancy).
     
  • It is not known whether Nasalide passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Nasalide and Breastfeeding).
     
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